Individual
ZACK ASHKENAZIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 WOODS RD, VALHALLA, NY 10595-1530
(914) 594-2123
Mailing address
15 BEARDSLEY LN, LLOYD HARBOR, NY 11743-1603
(516) 712-4171
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DS045331
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/08/2021
Last updated
08/01/2025
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